# 一位貝爾氏麻痺的個案無法完全閉合患側眼睛。護理師在照護計畫中應納入哪一項最重要的指導？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498734&lang=zh-tw  
> language: zh-TW  
> subject: Assistive Devices  
> category: BCC

## 題目

一位貝爾氏麻痺的個案無法完全閉合患側眼睛。護理師在照護計畫中應納入哪一項最重要的指導？

## 選項

1. 整天將雙眼都貼上眼罩，以保持臉部動作對稱
2. 每當再次感到乾澀時，用自來水沖洗患側眼睛
3. 使用醫囑的潤滑滴劑，並在睡眠期間保護患側眼睛 **✔ 正確答案**
4. 對抗阻力運動眼瞼，直到完全閉合恢復為止

**正確答案: 3**

## 解析

眼瞼閉合不全會使角膜暴露於乾燥和損傷的風險。潤滑滴劑或藥膏以及夜間眼瞼保護可在顏面神經功能恢復期間維持濕潤；用力運動和自來水沖洗無法保護角膜。

## 深入解析

快速解答
潤滑並保護無法閉合的眼睛，特別是在睡眠期間，以預防角膜損傷。

為什麼這是正確的
顏面神經無力會減少眨眼和完全眼瞼閉合。缺乏正常的保護性淚膜，角膜可能乾燥、擦傷或潰瘍，因此濕潤和物理性保護是優先事項。

簡單比喻或心智圖像
眼瞼就像角膜的雨刷和蓋子；貝爾氏麻痺使表面暴露在外。潤滑提供濕潤，但這個比喻不能取代對發紅、疼痛或視力變化的評估。

記憶掛鉤
貝爾氏麻痺加上眼瞼閉合不全，意味著要保護濕潤和保護角膜。

NCLEX 決策規則
當顏面無力妨礙眼瞼閉合時，優先使用醫囑的潤滑劑和安全的夜間覆蓋來保護角膜。教導個案立即報告疼痛、發紅或視力變化。

為什麼其他選項是錯的
遮蓋未受影響的眼睛會損害視力，卻無法保護暴露的角膜。自來水無法提供持續的無菌潤滑。潤滑和睡眠保護可預防乾燥和角膜損傷。阻力運動無法取代對暴露眼睛的保護。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]NCBI Bookshelf: Bell PalsyU.S. National Library of Medicine

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